EXAM REVISION MATERIAL FOR EXAM PREP.
A+ GRADE RESULTS
1. What is "lightening" in the context of labor? Lightening refers to
the onset of labor when the fetus settles or drops, which can occur
about 2 weeks before labor in nulliparas. It leads to increased
urinary frequency and a feeling of easier breathing. Multiparas may
not experience lightening until active labor.
2. What is Braxton-Hick’s contractions? Braxton-Hicks contractions are
irregular, non-dilating contractions of the uterus that occur before true
labor. They do not cause cervical dilation and may vary in length and
intensity.
3. How can you distinguish between false labor and true labor? False
labor has no regular pattern, no cervical effacement or dilation, and
contractions may stop with changes in activity or position. True labor
features regular, rhythmic contractions that cause cervical dilation and
effacement.
4. What is "effacement”? Effacement is the thinning, shortening,
or obliteration of the cervix during late pregnancy or labor.
5. What does "molding" refer to in childbirth? Molding refers to the
reshaping of the fetal skull caused by pressure during delivery.
6. What is the ideal fetal attitude during labor: The ideal fetal attitude
is flexion, where the fetus's chin is tucked toward its chest.
7. How often should fetal heart rate (FHR) be checked during
the 1st stage of labor? Fetal heart rate should be checked every
15 to 20 minutes during the 1st stage of labor.
8. What is the normal range for fetal heart rate (FHR)? The normal
fetal heart rate range is 120 to 160 beats per minute (bpm).
9. What does an Apgar score of O’s, 1, or 2 represent for
breathing? - 0: No breathing
- 1: Slow or irregular breathing
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EXAM REVISION MATERIAL FOR EXAM PREP.
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- 2: Cries well
10. What does an Apgar score of O’s, 1, or 2 represent for
muscle tone? - 0:
Floppy or loose
- 1: Some muscle tone
- 2: Active muscle tone
1 1. What does an Apgar score of O’s, 1, or 2 represent for skin
tone? - 0: Pale blue
- 1: Body pink with blue legs
- 2: Whole body pink
12. What is an episiotomy and its primary goal? An episiotomy is a
surgical incision of the perineum made at the end of the 2nd stage of
labor. The primary goals are to reduce bleeding, minimize tearing,
and prevent future bowel and bladder issues.
13. How does the Nitrazine test help in assessing membrane
rupture? The Nitrazine test measures pH levels to determine if
the membranes are intact or ruptured. Yellow or olive indicates
intact membranes (acidic), while blue or green indicates rupture
(alkaline).
14. What are the stages of labor and their key characteristics?
1st Stage:
Contractions end with complete dilation.
- Latent Phase: 5-8 min apart, 20-35 secs long.
- Active Phase: 3-5 min apart, 40-60 secs long.
- Transitional Phase: 2-3 min apart, up to 90 secs long.
- 2nd Stage: Complete dilation to baby delivery.
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